By National Council on Radiation Protection and Measurements
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Additional resources for Implementation of the principle of as low as reasonably achievable (ALARA) for medical and dental personnel : recommendations of the National Council on Radiation Protection and Measurements
Second, individual monitoring data s a c i e n t to allow construction of dose equivalent distributions for each separate group must be collected. For instance, a hospital may use the last 12 to 16 quarters of dose equivalent per quarter data, grouped by radiology workers and cardiac catheterization laboratory workers. 2 should be constructed for each group. The lower and upper bounds of the IRR may then be set using the dose equivalent and collective dose equivalent distributions. The lower bound should encompass approximately 90 percent of potentially exposed workers and 80 percent of measurably exposed workers but only approximately 20 to 30 percent of collective dose.
Each site involves a comparatively small number of exposed or potentially exposed workers. Thus,situations are likely to arise in which personnel untrained in the technique of cost benefit analysis might experience difficulty in implementing the concept. Having few employees per site also presents difficulties in confirming the success or failure of a radiation protection program, because the indicators of effective radiation protection practice are more susceptible to statistical imprecision when few data points are available.
1 35 Since the fact that an IRR or CRR has not been exceeded does not necessarily indicate that an optimal situation exists, additional types of data may be used to initiate the optimization procedure. Observation of procedures and practices by various members of the medical and technical staff can be used to supplement exposure records. This type of input can be particuIarly useful in identifying situations that might escape detection by individual or area monitoring. Examples range from circumstances in which personal monitors are not worn, or are worn improperly, to circumstances that produce highly localized exposures that may be missed by a single whole body monitor.
Implementation of the principle of as low as reasonably achievable (ALARA) for medical and dental personnel : recommendations of the National Council on Radiation Protection and Measurements by National Council on Radiation Protection and Measurements